Registration Fees Requested

Use this form if you would like to request funds from OCASL Foundation
to pay for registration fees for yourself or your child,
at an organization in Orange County North Carolina.
My Name:
My Age:
My Email:
My Address:
City:
State:
Zip:
Phone:
Sports Organization †:
Registration Fee:
Registration Deadline ‡:
Amount I Can Provide:
Why is participating in this sport /
activity important to you?:
How did you hear about OCASL Foundation?:
Additional Information:
† if sport is “casual” (no organization), please explain in additional information section
‡ or date by which fees are needed